How much rates vary
Facilitymedian $69 · 10th to 90th $52 to $174Professionalmedian $55 · 10th to 90th $51 to $56
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $109.65 | Facility | None | $52.48 | $81.28 | $109.65 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $26.30 Median $40.74 Typical High $54.95 | Facility | 52 · Reduced service | $26.30 | $40.74 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $16.22 Typical High $22.39 | Facility | 53 · Discontinued | $10.47 | $16.22 | $22.39 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.94 Median $12.30 Typical High $16.60 | Facility | 55 · Aftercare only | $7.94 | $12.30 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.25 Median $8.13 Typical High $10.96 | Facility | 56 · Pre-op care only | $5.25 | $8.13 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $64.57 | Professional | None | $51.29 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.30 Typical High $32.36 | Professional | 52 · Reduced service | $25.70 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $12.88 | Professional | 53 · Discontinued | $10.23 | $10.47 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.94 Typical High $9.55 | Professional | 55 · Aftercare only | $7.76 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $6.46 |
BCBS Texas Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $81.28 Typical High $173.78 | Facility | None | $54.95 | $81.28 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $60.26 Typical High $104.71 | Facility | None | $35.48 | $60.26 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | None | $51.29 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $25.70 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.23 | $10.47 | $10.47 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.76 | $7.94 | $7.94 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $5.25 |
Providence Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $467.74 | Facility | None | $52.48 | $61.66 | $467.74 |
Providence Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Where Texas sits
The same service costs 1.6 times more in Arizona than in California. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 46th of 51
$54.95
AZ $89.13CA $54.95
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.